Mustang Ridge Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MUSTANG RIDGE HEALTHCARE, INC.

Practice address

8324 Cameron Rd
Austin, TX 78754-3990

Phone

(737) 241-0800

Fax

(737) 241-0801

NPI assigned

Jun 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1912576372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543990",
            "telephone_number": "737-241-0800",
            "fax_number": "737-241-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 CAMERON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543990",
            "telephone_number": "737-241-0800",
            "fax_number": "737-241-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG RIDGE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Mushtaler, M.D.
• Sheryl Musick, LPTA
• Sharon G Mussey, CRNA
• Camille Victoria Musso, L.AC.
• Ericka Musson
• Yadelis G Mustelier
• Sharon Muth
• Dave Ganesha Muthali, M.D
• Jaime D Mutschink
• Manvitha Reddy Mutyala, MD

• Skilled Nursing Facility in Austin, TX
• Providers in Austin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.